Claims Detail Screen
Locate the terms found in the claims detail screen.
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BRAND-NAME
DATE-OF-SERVICE
DATE-SUBMITTED
DAW-CODE
DAY-SUPPLY
DEA-CLASS
GENERIC-INDICATOR
GENERIC-NAME
GPI
MANUFACTURER
NABP
NDC
NPI
PRESCRIBER-ID
PRESCRIBER-NAME
PROVIDER-NAME
QUANTITY-DIPENSED
REJECTION-CODE
REJECTION-MESSAGE
REMAININGTROOP
RX-NUMBER
| Q | I | W | J | T | H | Z | N | B | R | A | N | D | - | N | A | M | E | V | V |
| O | G | P | J | F | Q | R | E | J | E | C | T | I | O | N | - | C | O | D | E |
| Q | A | E | G | A | S | S | E | M | - | N | O | I | T | C | E | J | E | R | D |
| N | H | D | E | T | T | I | M | B | U | S | - | E | T | A | D | E | O | X | I |
| S | T | M | T | F | J | W | N | W | X | M | T | D | O | X | E | T | K | - | - |
| E | D | E | S | N | E | P | I | D | - | Y | T | I | T | N | A | U | Q | N | R |
| M | A | D | Q | X | E | R | W | T | A | R | B | U | C | C | - | J | Q | U | E |
| A | T | E | O | P | E | E | O | B | B | W | L | X | I | Q | C | D | A | M | B |
| N | E | M | H | I | K | S | W | C | W | R | - | D | O | A | L | C | Y | B | I |
| - | - | A | D | I | C | C | K | W | A | F | N | C | O | Y | A | W | P | E | R |
| R | O | N | K | Z | G | R | J | L | L | I | S | P | O | E | S | Y | O | R | C |
| E | F | - | M | S | V | I | Z | D | - | P | P | O | I | D | S | J | R | X | S |
| D | - | C | U | P | Z | B | U | C | S | A | J | G | T | B | E | Q | O | U | E |
| I | S | I | R | X | S | E | I | Y | L | P | P | U | S | - | Y | A | D | F | R |
| V | E | R | B | C | E | R | E | M | A | I | N | I | N | G | T | R | O | O | P |
| O | R | E | V | D | E | - | U | S | E | N | E | V | Q | L | W | M | P | Q | P |
| R | V | N | T | N | K | N | N | V | D | L | H | E | L | U | I | Q | W | K | V |
| P | I | E | E | A | H | A | U | T | R | M | P | J | C | N | J | S | V | T | R |
| F | C | G | S | B | B | M | A | N | U | F | A | C | T | U | R | E | R | K | K |
| D | E | X | F | P | Z | E | C | D | L | C | X | E | F | T | D | J | L | V | F |
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